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General NPI Number Information
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NPI Number | 1396713673
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Entity Type | Organization
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Legal Business Name | AMBULANCE SERVICE OF BRISTOL INC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 1718 SHELBY ST
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City | BRISTOL
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State | TN
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Zip | 37620-1938
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Country | US
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Telephone | 423-764-4942
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Fax | 423-764-2064
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Provider Business Mailing Address
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Address Line | 1718 SHELBY ST
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City | BRISTOL
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State | TN
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Zip | 37620-1938
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Country | US
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Telephone | 423-764-4942
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Fax | 423-764-2064
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Authorized Official
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Title or Position | CEO
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Name | GEORGE W ELLIOTT
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Credential |
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Telephone | 423-764-4942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 9925
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License Number State | TN
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